Active NPI
Jennifer J. Dotterweich, OD, PLLC
- Optometrist
- Avon, NY
National Provider Identifier
1659569606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT006150-1
- Legal business name
- JENNIFER J. DOTTERWEICH, OD, PLLC
- Practice address
- 243 E Main St
Avon, NY 14414-1421 - Phone
- (585) 519-4208
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer J Dotterweich, OD
- Title
- Optometrist
- Phone
- (585) 519-4208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT006150-1 | NY | Primary |
Addresses
Primary practice location
243 E Main St
Avon, NY 14414-1421
Mailing address
243 E Main St
Avon, NY 14414-1421
Phone (585) 519-4208
National Provider Directory
National Provider DirectoryLocations
243 E Main St
Avon, NY 14414
Phone (585) 226-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Avon, NY
- NPI 1194784694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458259200000",
"number": "1659569606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 E MAIN ST",
"city": "AVON",
"state": "NY",
"postal_code": "144141421",
"telephone_number": "585-519-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 E MAIN ST",
"city": "AVON",
"state": "NY",
"postal_code": "144141421",
"telephone_number": "585-519-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER J. DOTTERWEICH, OD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2016-03-18",
"status": "A",
"authorized_official_last_name": "DOTTERWEICH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "585-519-4208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006150-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.